The aim of this clinical trial is to determine whether home-based cardiac rehabilitation with a family empowerment approach can help acute coronary syndrome patients recover. The main questions to be answered are:
\- Does home-based cardiac rehabilitation with a family approach effective in patients with acute coronary syndrome to improve health-related quality of life and peak Vo2? Researchers will compare with usual care to see if home-based cardiac rehabilitation with a family approach is more effective for improving health-related quality of life and peak Vo2 in ACS patients.
Patient inclusion criteria
1. Patients with acute coronary syndrome who had undergone hospitalization, with a minimum home care time of 3 months and a maximum of 1 year, calculated from the day of discharge from the hospital until the time of the interview. 2. Aged 18-65 years old, participants were selected with age variations representing young adults, adults and the elderly. 3. Patients with first experience of SCA, participants were selected whether they had undergone PCI or not. 4. Patients living with family and family involved in the patient care process. 5. Physical condition allows for interviews. physical condition is evidenced by examination of stable vital signs (diastolic BP
\>90, systolic \<150 mmhg; N: 60-100x/min; S: 36-380c, no pain). Psychological condition does not show symptoms of depression as measured by the Patient Health Questionnaire-9 instrument. 6. Willing to participate in the study.
Participants will:
For 12 weeks
1. Perform walking exercises as prescribed 2. Implement diets and stress management according to the module 3. Quit smoking 4. Medication compliance 5. visit the clinic to see a cardiologist, undergo a 6-minute walk test
Patients with acute coronary syndrome who have undergone hospitalization, with a minimum home care time of 3 months and a maximum of 1 year, calculated from the day of discharge from the hospital until the time of interview.
Aged 18-65 years, participants were selected with age variations representing young adults, adults and the elderly.
Patients with first experience of SCA, participants were selected whether they had undergone PCI or not.
Patients living with family and family involved in the patient care process.
Patients with comorbidities that require routine medication such as Diabetes Mellitus, hypertension, renal failure
Parallel
Home based cardiac rehabilitation
Behavioral12 week home based cardiac rehabilitation include Physical exercise, dietary management, smoking cessation and stress management
health related quality of life
Individuals perception of their level of health, current condition which includes physical, psychological and social dimensions, will be measured with MacNew Heart questionnaire. scored from 1 (low HRQOL) to 7 (high HRQOL). The maximum possible score in any domain is 7
peak Vo2
peak vo2 achieved based on 6minute walk test, in ml/kg/min
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